Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

VIP PRIMARY CARE LLC
NPI 1700700416
Nurse Practitioner - Family in Broken Arrow, OK

Q: What is Vip Primary Care LLC's NPI number?

The NPI number for Vip Primary Care LLC is 1700700416. It was assigned to this organization in the NPPES registry on August 5, 2026.

Q: What is Vip Primary Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since August 05, 2026

3816 W VAN BUREN ST, BROKEN ARROW, OK 74011(918) 704-1240 Get Directions Write a Review

NPPES record added: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Vip Primary Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIP PRIMARY CARE LLC (NPI 1700700416) is a healthcare organization registered as a family in Broken Arrow, Oklahoma and active in the NPI registry since August 2026. The organization lists Madison Hibbard, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700700416

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameVIP PRIMARY CARE LLC

Location Address3816 W VAN BUREN STBroken Arrow, OK 74011-1912

Mailing Address3816 W Van Buren StBroken Arrow, OK 74011-1912 · (918) 704-1240

Phone(918) 704-1240

Organization SubpartNo

Authorized OfficialMadison HibbardCeo · (918) 704-1240

Enumeration DateAugust 5, 2026

NPPES CertifiedAugust 5, 2026

✔ NPI 1700700416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

3816 W VAN BUREN ST, Broken Arrow, OK 74011

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vip Primary Care LLC's NPI number?

The NPI number for Vip Primary Care LLC is 1700700416. It was assigned to this organization in the NPPES registry on August 5, 2026.

Where is Vip Primary Care LLC located?

Vip Primary Care LLC is located at 3816 W Van Buren St, Broken Arrow, OK 74011. The listed phone number is (918) 704-1240.

What is Vip Primary Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Vip Primary Care LLC was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.